About the role
Dear Candidate,
Greetings from Guidehouse!
We are looking for experienced candidates with Credit Balance - Senior Associate AR- RCM experience.
What You Will Do:
- Review and resolve patient and insurance credit balance accounts accurately and within established timelines. Contact insurance companies for further explanation of over payment and recoupments.
- Process refund packets, recoupments, payment transfer requests, and approved reversal adjustments in accordance with client and regulatory guidelines.
- Research and resolve unidentified payments, unapplied cash, and posting discrepancies to ensure account accuracy.
- Prioritize aging credit balance inventories to ensure timely resolution and with service level agreements (SLAs).
- Collaborate with Billing, Accounts Receivable, Payment Posting, Coding, and Client teams to resolve complex account issues.
- Maintain accurate and detailed documentation of account activities, refund statuses, and resolution notes in the system.
- Meet productivity, quality, and turnaround time targets while ensuring accuracy and compliance.
What You Will Need:
- Must be a graduate.
- Minimum 3+ years of exp in Credit Balance or 5+ years of experience in cash posting.
- Good understanding of EOBs, ERAs, refunds, recoupments, offsets, and adjustment transactions.
- Experience working with payer and patient credits.
- Adaptable to night shift work with a strong commitment to operational requirements.
- Good voice and demonstrate professional demeanour via phone.
- Strong analytical abilities with expertise in reviewing and interpreting credit balance transactions at the account level.
What Would Be Nice To Have:
- Experience in GPMS / NG billing system.
- Experience in Pediatrix billing.
**Note:**Employees must opt for cab mandatorily, we expect candidates to be within 25 kms radius from the office location. Cab facility will be extended subject to feasibility.
Degree is mandatory- Diploma can't be considered. Proof of documents for recent employment is mandatory.
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